CT scan, abdomen and pelvis (with contrast)
Facility: Lane County Hospital
Billing Code: 74177 (CPT)
- CPT Billing Code: 74177
- Insurance Median: $1,025
- Cash Discount Price: $1,025
- vs. Medicare Baseline: 2.88x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $356.43 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 288% of the Medicare baseline (a markup of 188%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $922 - $974 | 259% |
| UnitedHealthcare | $922 - $1,025 | 259% |
| Medicaid / KanCare | $1,025 - $1,128 | 288% |
| Healthy Blue Mcr Adv - All Other Plans | $1,025 | 288% |
| Healthy Blue Mcaid | $1,025 | 288% |
| Wppa Providers-All Plans | $1,538 | 432% |
Consumer Guidance & Cost Commentary
For the CPT code 74177, representing a CT scan of the abdomen and pelvis with contrast at Lane County Hospital in Dighton, Kansas, the cash price is $1,025.00. This cash rate aligns exactly with the facility's median negotiated rate and the median amount paid by insurers, indicating that for this specific service, the contracted price matches the cash price. The facility is a Critical Access Hospital with government ownership, and while the data does not provide explicit state or county average comparisons for this specific code, the consistency between the cash, negotiated, and paid amounts suggests a transparent pricing structure where the administrative overhead typically associated with insurance billing has been minimized or absorbed.
When comparing this service to the national benchmark, the facility's rate is 2.9 times the Medicare amount of $356.43. While commercial negotiated rates often exceed Medicare benchmarks by 200% to 300%, this specific instance shows a negotiated rate that is significantly lower than the typical commercial markup, effectively matching the cash price. Patients with high-deductible plans may find that paying the cash price of $1,025.00 upfront is more cost-effective than relying on insurance, as the negotiated rate does not offer a discount over the cash price. It is advisable to contact the hospital directly to confirm if any additional "self-pay" or "prompt-pay" discounts are available, as these incentives can further reduce the final bill by bypassing the standard insurance claims processing cycle.